Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | THE PLAN WAS ESTABLISHED TO REIMBURSE PARTICIPANTS AND THEIR DEPENDENTS FOR QUALIFIED OUT-OF-POCKET HEALTH CARE EXPENSES (SUCH AS OUT-OF-POCKET EXPENSES FOR MEDICAL CARE, VISION CARE, DENTAL CARE, PRESCRIPTION DRUGS AND CERTAIN OVER-THE-COUNTER DRUGS) AND QUALIFIED LONG TERM CARE EXPENSES, AS WELL AS PREMIUMS FOR HEALTH INSURANCE, HEALTH PLAN COVERAGE, AND QUALIFIED LONG TERM CARE INSURANCE CONTRACTS THAT OCCUR AFTER THE PARTICIPANT HAS RETIRED OR TERMINATED EMPLOYMENT, INCLUDING COVERAGE UNDER THE CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT OF 1985 (COBRA). |
| FORM 990, PART VI, SECTION B, LINE 11B: | NRECA POST-EMPLOYMENT HEALTH REIMBURSEMENT ARRANGEMENT (HRA) PLAN FORM 990 IS PREPARED BY BDO AND REVIEWED BY A SR. FINANCIAL ANALYST II WITHIN FINANCE. IN ADDITION, THE SR. DIRECTOR OF FINANCE & ACCOUNTING - I&FS AND GOVERNMENT GRANTS & CONTRACTS REVIEWS THE FORM 990 AND SUPPORTING WORKPAPERS IN DETAIL. THE CHIEF FINANCIAL OFFICER THEN REVIEWS THE FORM 990 FOR ACCURACY. THE FORM 990 IS FILED AND MADE AVAILABLE TO THE ADMINISTRATIVE AND OVERSIGHT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C: | EACH DIRECTOR AND TRUSTEE IS REQUIRED TO COMPLETE AND SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE THAT IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER REVIEWS EACH QUESTIONNAIRE AND FOLLOWS UP ON ANY CONFLICTS WITH RESPECTIVE DIRECTORS AND TRUSTEES ALONG WITH NRECA Legal Counsel. |
| FORM 990, PART VI, SECTION B, LINE 15: | THE TRUST DOES NOT HAVE ANY EMPLOYEES NOR DOES IT PAY ITS INDIVIDUAL DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19: | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIALS STATEMENTS ARE AVAILABLE UPON REQUEST. |
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